The biomedical effect of laser-induced photodissociation of oxyhemoglobin in vivo

It is demonstrated that the photodissociation of oxyhemoglobin in cutaneous blood vessels and capillaries allows additional extraction of molecular oxygen, prevents hypoxia, and stimulates aerobic metabolism of cells. On the basis of the studied phenomena, a new optical technology of local oxygenation of tissue directly in the zone of laser irradiation has been developed. It is shown that the efficiency of the proposed method for laser-induced oxygenation of biotissues is comparable with the efficiency of hyperbaric oxygenation, with local action being an additional advantage. Various aspects of the applications of the new technology in modern medicine in which the elimination of local hypoxia is needed are discussed. The proposed optical method for local oxygenation of biotissues makes it possible to solve the hypoxia problem in malignant tissue and substantially increase the efficiency of photodynamic, radiation, and chemical therapy in modern oncology.